Individual
QUINTIN TODD MULDOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
960 LIBERTY ST SE STE 120, SALEM, OR 97302-4165
(503) 588-2804
(503) 371-6743
Mailing address
1011 COMMERCIAL ST NE, SALEM, OR 97301-1049
(503) 983-9900
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
10/04/2022
Last updated
06/15/2023
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